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1548611924
JONATHAN NITZ
PEORIA, IL
NPI
1548611924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IL 125.069354)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
-- JONATHAN NITZ M.D.
624 NE GLEN OAK AVE ROOM 2670
PEORIA, IL 61603-3135
Phone number: 309-655-3971
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Mailing Address
-- JONATHAN NITZ M.D.
2110 W GENEVA RD
PEORIA, IL 61615-6204
Phone number: 502-320-4248
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